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PRINT GUIDELINES FOR LABORATORY INVESTIGATIONS PRIOR TO SURGERY NO TESTS: Asymptomatic patient under 40 years of age having minor surgery FBC: All patients over 60 years of age All patients likely to experience significant blood loss and who may require Transfusion, Malignancy, Anaemia, Bleeding Disorders Patient with suspected Anaemia, CRF. ELECTROLYTES, UREA, CREATININE: All patients over 60 years of age or with Diabetes, Cardiovascular or Renal, Disease Diuretic therapy, Hypertension CHEST X-RAY: All patients over 60 years having major surgery Or with Chronic Obstructive Pulmonary Disease, Malignancy or Cardiovascular Disease without Chest X-ray within the last six months. ECG: All patients over 40 years OR with Chronic Obstructive Pulmonary Disease, Hypertension, Diabetes, Cardiovascular Disease. COAGULATION STUDIES: Patients for major surgery and patient on Anticoagulants or Hepatobiliary Disease, Bleeding disorder or bleeding tendency. LUNG FUNCTION TESTS & ARTERIAL BLOOD GAS: Chronic Obstructive Pulmonary Disease Morbid obesity, Unstable Asthma OTHER TESTS: MSU for Urology patients and Joint Replacement Nose and Groin swab for Vascular and Orthopaedic patients JOINT REPLACEMENT PATIENTS: MSU Knee: (Xray) AP Weight bearing, Intercondylor view, Skyline patella view supine lateral. (Xray) AP & Lateral hip, AP & Lat Pelvis, Femur Long View, Orthopaedic Pelvis centred on symphysis pubis. Contact person: Clinical Nurse Consultant 9767-5000 page 60266 Hip: CONSULTATIONS: For patients having major surgery with significant comorbidities, it would be helpful to provide details of recent cardiology or physician consultation. SURGERY AT CONCORD REPATRIATION GENERAL HOSPITAL PRE-OPERATIVE PREPARATION Dear Doctor, Your patient __________________________ _______ (Reference number ____________) is scheduled to be admitted to Concord Hospital on _______/______/________ for surgery under Dr ___________________________. We require all our patients to present at our Pre-Admission Clinic 7-10 days prior to their admission date, which not only assesses the patient medically, but provides the opportunity for discharge planning and so forth to commence. However, where distance from Concord precludes a separate visit to CRGH the only alternative may be to perform pre-operative investigations and consultations closer to home. This reduces the risk of last minute cancellation from the operating lists. We request the following: 1. Carry out investigations as per attached sheet and any resulting follow-up investigations or consultation with local specialists. 2. Fax/Forward - Patient details (including reference number) Results of investigations Letters from specialist physicians (where applicable) and allergies List of Medications and allergies and/or including any NSAIDS,Aspirin, Anti Platelet Agents, Anticoagulants. Any known history of Anaesthetic complications Health Summary or completed Pre-Procedure Questionnaire To: Pre-Admission Clinic Concord Hospital CONCORD NSW 2139 Fax: (02) 9767 9041 Ph: (02) 9767 8385 Where further investigation or referral is deemed necessary details will be forwarded to you. Thank you for your co-operation Manager Patient Registration Admissions Department [email protected] Revised March 2007
